Individual provider Active NPI

Sean C Hails, CP

  • Prosthetist
  • Tacoma, WA
National Provider Identifier
1720612450
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
PS60906975 Issued in WA
Practice address
1901 S Cedar St Ste 202
Tacoma, WA 98405-2303
Phone
(253) 572-1282
Fax
(253) 572-1175
NPI assigned
Mar 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X PS60906975 WA Primary

Addresses

Primary practice location

1901 S Cedar St Ste 202
Tacoma, WA 98405-2303

Mailing address

1901 S Cedar St Ste 202
Tacoma, WA 98405-2303
Phone (253) 572-1282

Other practice location 1

922 S 348th St
Federal Way, WA 98003-7021
Phone (253) 952-3887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS60906975WAMDProsthetist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1720612450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST STE 202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052303",
            "telephone_number": "253-572-1282",
            "fax_number": "253-572-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S CEDAR ST STE 202",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052303",
            "telephone_number": "253-572-1282",
            "fax_number": "253-572-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "922 S 348th St",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980037021",
            "country_code": "US",
            "telephone_number": "253-952-3887",
            "fax_number": "253-927-3058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAILS",
        "first_name": "SEAN",
        "middle_name": "C",
        "credential": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS60906975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.